| NPI | 1306222591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.17500) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN.305901-1) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.17500-NP) | |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2017-01-19 |